2011 Provider/Pharmacy Directory - Blue Cross and Blue Shield of ...

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EDGEFIELD EDGEFIELD Powell Douglas F MD* Orthopedic Surgery Lakelands Orthopaedic Clinic PA 300 Ridge Medical Plaza Edgefield, SC, 29824 (864) 2292663 Stahura Douglas A DO* Nephrology Hospital Identifier(S): 2, 7 CSRA Renal Services LLC 200 Ridge Medical Plaza Rd Edgefield, SC, 29824 (803) 6480718 Stallings Roosevelt J MD Vascular Surgery Hospital Identifier(S): 21 R J Stallings MD 300 Ridge Medical Plaza Rd Edgefield, SC, 29824 (803) 6372054 Timms Anthony R MD* Orthopedic Surgery Lakelands Orthopaedic Clinic PA 300 Ridge Medical Plaza Edgefield, SC, 29824 (864) 2292663 FAIRFIELD WINNSBORO Crosswell Hal H Jr MD Ophthalmology Hospital Identifier(S): 31 Winnsboro Eye Associates 1007 Kincaid Bridge Rd Winnsboro, SC, 29180 (803) 6356496 Specialists Percival Brandon S DPM* Podiatry Hospital Identifier(S): 57 Carolina Podiatry Group Inc 102 Hwy 321 By Pass N Winnsboro, SC, 29180 (800) 3361279 Scdr Lang: ENGLISH FLORENCE FLORENCE Abdeljalil Asem A MD* Pulmonary Disease Carolina Health Care PA 506 E Cheves St Florence, SC, 29506 (843) 4133100 Scdr Speciality: Internal Medicine Amphan Choncharoen MD Nephrology Hospital Identifier(S): 40 Sarawadee Sittisuntorn MD LLC 514 S Dargan St Ste H Florence, SC, 29506 (843) 6695956 Scdr Lang: THAI Scdr Speciality: Internal Medicine Arabi Arash DPM* Podiatry Florence Podiatry Associates LLC 2501 S Vance Dr Florence, SC, 29505 (843) 9371797 Bajaj Rajesh MD* Oncology/Hematology Hospital Identifier(S): 40 Carolina Health Care PA 506 E Cheves St Florence, SC, 29506 (843) 4133100 Scdr Lang: INDONESIAN Scdr Speciality: Internal Medicine FLORENCE FLORENCE Barker Derek L MD Ophthalmology Hospital Identifier(S): 31 Columbia Eye Clinic 514 S Dargan St Ste E Florence, SC, 29506 (803) 7793070 Barnard Mark L MD* Pulmonary Disease Hospital Identifier(S): 12, 40 Mark L Barnard MD LLC 121 E Cedar St Florence, SC, 29506 (843) 6613499 Barnard Mark L MD Pulmonary Disease Hospital Identifier(S): 12, 40 Carolinas Hospital Systems 121 E Cedar St Florence, SC, 29506 (843) 6742511 Barnard Mark L MD Pulmonary Disease Hospital Identifier(S): 12, 40 QHG Of South Carolina 805 Pamplico Hwy Florence, SC, 29505 (843) 6745000 Berry Carol Ann FNP Nurse Practitioner Firstchoice Healthcare 1920 2nd Loop Rd Florence, SC, 29501 (843) 6789777 Bharadwaj Ramesh A MD Infectious Disease Carolina Health Care PA 506 E Cheves St Florence, SC, 29506 (843) 4133100 Scdr Speciality: Internal Medicine * Providers identified with an asterisk also accept Medicaid 187
FLORENCE FLORENCE Bishara Lisa A MD* Anesthesiology Florence Surgery & Laser Center 400 N Cashua Dr Florence, SC, 29501 (843) 6649393 Bitting George A MD Physical Medicine & Rehabilitation Firstchoice Healthcare 1920 2nd Loop Rd Florence, SC, 29501 (843) 6789777 Blaker Alan M MD* Cardiovascular Disease Hospital Identifier(S): 40 Pee Dee Cardiology Assoc PA 901 E Cheves St Ste 600 Florence, SC, 29506 (843) 6671891 Scdr Speciality: Internal Medicine Bratton James R Jr MD* Ear, Nose & Throat Hospital Identifier(S): 12, 40 Ear Nose & Throat Assoc Of Florence 800 E Cheves St Ste 370 Florence, SC, 29506 (843) 6673533 Scdr Speciality: Plastic Surgery Breazeale Grant H MD* Pulmonary Disease Carolina Health Care PA 506 E Cheves St Florence, SC, 29506 (843) 4133100 Scdr Speciality: Internal Medicine Specialists Brown Ronald C OD Optometrist Florence Vision Center PA 1911 2nd Loop Rd Florence, SC, 29501 (843) 6623912 Buttles Melissa R PA* Physician's Assistant Pee Dee Cardiology Assoc PA 901 E Cheves St Ste 600 Florence, SC, 29506 (843) 6671891 Collins Daniel L MD Physical Medicine & Rehabilitation W Dean Lorenz MD Florence Rehabilitation Med 1925 Hoffmeyer Rd Florence, SC, 29501 (843) 6614390 Crosswell William F MD Ophthalmology Hospital Identifier(S): 31 Columbia Eye Clinic 514 S Dargan St Ste E Florence, SC, 29506 (803) 7793070 Culleton John L MD* Endocrinology Hospital Identifier(S): 12, 40 Carolinas Endocrinology 1594 Freedom Blvd Ste 102 B Florence, SC, 29505 (843) 6737560 Scdr Speciality: Internal Medicine Daniels Royden E III MD* Radiology Florence MRI & Imaging 805 S Irby St Florence, SC, 29501 (843) 2920400 FLORENCE FLORENCE Dawson Alfred G MD* Orthopedic Surgery Hospital Identifier(S): 40 Florence Orthopaedic Assoc PA 251 W Palmetto St Florence, SC, 29501 (843) 6627026 Dawson George R III MD* Orthopedic Surgery Hospital Identifier(S): 40 Florence Orthopaedic Assoc PA 251 W Palmetto St Florence, SC, 29501 (843) 6627026 Denton Patrick K MD Orthopedic Surgery Hospital Identifier(S): 12, 40 Pee Dee Ortho Associates 1116 W Evans St Florence, SC, 29501 (843) 6625233 Efros James H MD* Anesthesiology Florence Surgery & Laser Center 400 N Cashua Dr Florence, SC, 29501 (843) 6649393 Ervin Ann H MD Dermatology Carolina Health Care PA 506 E Cheves St Florence, SC, 29506 (843) 4133100 Evaldi Martin F MD* Anesthesiology Anesthesiology Consultants Of Florence 805 Pamplico Hwy Florence, SC, 29505 (843) 6643301 * Providers identified with an asterisk also accept Medicaid 188
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2011 Provider/Pharmacy Directory an
Page 3 and 4:
TABLE OF CONTENTS PROVIDER DIRECTOR
Page 5 and 6:
Total Network Providers Available P
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How do you find Medicare Blue and M
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AIKEN AIKEN Skinner Raymond R MD
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ANDERSON ANDERSON Donaldson Will
Page 13 and 14:
ANDERSON ANDERSON Lazariashvili
Page 15 and 16:
ANDERSON ANDERSON Wheeler Thomas
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BAMBERG BAMBERG Hayden John H Jr
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BEAUFORT PORT ROYAL PORT ROYAL A
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CALHOUN SAINT MATTHEWS Primary C
Page 23 and 24:
CHARLESTON CHARLESTON Primary Ca
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CHARLESTON CHARLESTON Primary Ca
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Primary Care Physicians CHARLESTON
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CHEROKEE GAFFNEY Nazareno Marilu
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CLARENDON MANNING McNair Rebecca
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DARLINGTON HARTSVILLE Harless Mi
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Primary Care Physicians DORCHESTER
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FLORENCE FLORENCE Primary Care P
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GREENVILLE GREENVILLE Arashinagu
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GREENVILLE GREENVILLE Broderick
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GREENVILLE GREENVILLE Davis Lucy
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GREENVILLE GREENVILLE Garris Jef
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GREENVILLE GREENVILLE Holtzer Ka
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GREENVILLE GREENVILLE Kofoed Sha
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GREENVILLE GREENVILLE May Harry
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GREENVILLE GREENVILLE Nithya Ram
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GREENVILLE GREENVILLE Ray Dana R
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GREENVILLE GREENVILLE Stanbro Ma
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GREENVILLE GREENVILLE Williams J
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GREENVILLE GREER Khalid Humaira
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GREENVILLE SIMPSONVILLE Primary
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GREENVILLE TAYLORS Primary Care
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GREENWOOD GREENWOOD Primary Care
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HORRY LITTLE RIVER LITTLE RIVER
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HORRY MYRTLE BEACH Haq Ahmad T M
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HORRY MYRTLE BEACH Tangeman Lind
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LANCASTER FORT MILL Shah Amit G
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LANCASTER LANCASTER Primary Care
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LEXINGTON CHAPIN Venegas J M MD*
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LEXINGTON IRMO Guram Surbjinder
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LEXINGTON LEXINGTON PriceBost
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LEXINGTON WEST COLUMBIA Primary
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LEXINGTON WEST COLUMBIA Primary
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NEWBERRY NEWBERRY Godoy Franco B
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Primary Care Physicians ORANGEBURG
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PICKENS CLEMSON Rhodes Tiffany L
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PICKENS EASLEY Swiger Barry R MD
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RICHLAND COLUMBIA Burnham Willia
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RICHLAND COLUMBIA Harper Greta S
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RICHLAND COLUMBIA Joy Annarosan
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RICHLAND COLUMBIA Nwanagu Jonath
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RICHLAND COLUMBIA Schumacher Sar
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RICHLAND IRMO IRMO CallisWolfe
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SPARTANBURG GREER OtubuScipio
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Primary Care Physicians SPARTANBURG
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SUMTER SUMTER Riddle Samuel M II
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YORK YORK Thomas Aydrian L MD* F
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AIKEN AIKEN Maniam Prakash N MD
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ANDERSON ANDERSON ANDERSON ANDER
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ANDERSON ANDERSON George Matthew
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ANDERSON ANDERSON Malpass David
Page 143 and 144: ANDERSON ANDERSON Rekito Anthony
Page 145 and 146: ANDERSON ANDERSON Wilson Freddie
Page 147 and 148: BARNWELL BARNWELL Patel Devesh R
Page 149 and 150: BEAUFORT BLUFFTON Warner George
Page 151 and 152: BEAUFORT HILTON HEAD Kalan Jay M
Page 153 and 154: BEAUFORT HILTON HEAD Young Charl
Page 155 and 156: BERKELEY DANIEL ISLAND O'Neill P
Page 157 and 158: BERKELEY MONCKS CORNER Specialis
Page 159 and 160: CHARLESTON CHARLESTON Specialist
Page 171 and 172: CHARLESTON MOUNT PLEASANT Specia
Page 179 and 180: Specialists CHARLESTON NORTH CHA
Page 185 and 186: CHARLESTON SUMMERVILLE Specialis
Page 187 and 188: CHESTER CHESTER Percival Julie A
Page 189 and 190: COLLETON WALTERBORO COLLETON WAL
Page 191 and 192: DARLINGTON HARTSVILLE Nwankudu N
Page 193: DORCHESTER SUMMERVILLE Specialis
Page 197 and 198: FLORENCE FLORENCE Jobe John S MD
Page 199 and 200: FLORENCE FLORENCE Pande Meenaksh
Page 201 and 202: FLORENCE LAKE CITY Palmer Susan
Page 203 and 204: GEORGETOWN PAWLEYS ISLAND Specia
Page 205 and 206: GREENVILLE GREENVILLE Ansari Moh
Page 207 and 208: GREENVILLE GREENVILLE Blouin Gay
Page 209 and 210: GREENVILLE GREENVILLE Brown Eric
Page 211 and 212: GREENVILLE GREENVILLE Specialist
Page 213 and 214: GREENVILLE GREENVILLE Cobb Willi
Page 215 and 216: GREENVILLE GREENVILLE Curran Wil
Page 217 and 218: GREENVILLE GREENVILLE Dodge Rhet
Page 219 and 220: GREENVILLE GREENVILLE Ferlauto G
Page 221 and 222: GREENVILLE GREENVILLE Galbraith
Page 223 and 224: GREENVILLE GREENVILLE Gray Linda
Page 225 and 226: GREENVILLE GREENVILLE Hayes Lloy
Page 227 and 228: GREENVILLE GREENVILLE Horton Sam
Page 229 and 230: GREENVILLE GREENVILLE Jervey E D
Page 231 and 232: GREENVILLE GREENVILLE Kelly Mich
Page 233 and 234: GREENVILLE GREENVILLE Lashley Je
Page 235 and 236: GREENVILLE GREENVILLE Mabie Bill
Page 237 and 238: GREENVILLE GREENVILLE McCarter J
Page 239 and 240: GREENVILLE GREENVILLE Merchant V
Page 241 and 242: GREENVILLE GREENVILLE Murphy R R
Page 243 and 244: GREENVILLE GREENVILLE Pace Thoma
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GREENVILLE GREENVILLE Phillips M
Page 247 and 248:
GREENVILLE GREENVILLE Riddle Cha
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GREENVILLE GREENVILLE Sarmiento
Page 251 and 252:
GREENVILLE GREENVILLE Shusterman
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GREENVILLE GREENVILLE Spivey Jud
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GREENVILLE GREENVILLE Terry Lewi
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GREENVILLE GREENVILLE Van Hale H
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GREENVILLE GREENVILLE Welborn Ju
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GREENVILLE GREENVILLE Wiper Dona
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GREENVILLE GREENVILLE Young Thom
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GREENVILLE GREER Johnson Gordon
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GREENVILLE GREER Thompson Mauree
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GREENVILLE SIMPSONVILLE Speciali
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Page 273 and 274:
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GREENWOOD GREENWOOD Specialists
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HAMPTON VARNVILLE Lewin Albert R
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HORRY LORIS Pande Amit V MD* Car
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HORRY MYRTLE BEACH Dean Mark T O
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HORRY MYRTLE BEACH Lee David B P
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HORRY MYRTLE BEACH Sloan Frank K
Page 287 and 288:
JASPER HARDEEVILLE Coolidge Caro
Page 289 and 290:
KERSHAW CAMDEN Olatosi Akinwale
Page 291 and 292:
LANCASTER LANCASTER Makhuli Mark
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LAURENS CLINTON Yu Henry MD* Nep
Page 295 and 296:
LEXINGTON COLUMBIA Miller Stewar
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LEXINGTON IRMO O'Leary James A M
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LEXINGTON LEXINGTON Hydorn Chris
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LEXINGTON WEST COLUMBIA Speciali
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MARLBORO BENNETTSVILLE Specialis
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OCONEE SENECA Carter George E II
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ORANGEBURG NORTH NORTH Tharp Sho
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ORANGEBURG ORANGEBURG Specialist
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ORANGEBURG ORANGEBURG Specialist
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PICKENS EASLEY Edenfield William
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PICKENS PICKENS PICKENS Spearman
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RICHLAND COLUMBIA Boyd Robert E
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RICHLAND COLUMBIA Carroll Vernon
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RICHLAND COLUMBIA Deemer Jessamy
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RICHLAND COLUMBIA Gabr Usama A M
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RICHLAND COLUMBIA Hawsey Laura A
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RICHLAND COLUMBIA Jones Benjamin
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RICHLAND COLUMBIA Lovern Mark A
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RICHLAND COLUMBIA McLaughlin Nia
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RICHLAND COLUMBIA Norman Jennife
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RICHLAND COLUMBIA Rafiq Muhammad
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RICHLAND COLUMBIA Shenoy Rajeev
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RICHLAND COLUMBIA Thompson Steph
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RICHLAND COLUMBIA Wells John A J
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SPARTANBURG BOILING SPRINGS Spec
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SPARTANBURG GREER Kallman David
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SPARTANBURG INMAN Penka Rachelle
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SPARTANBURG SPARTANBURG Speciali
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SUMTER SUMTER Moses Henry P MD*
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UNION UNION Wren John D MD* Path
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YORK ROCK HILL Blackwell James B
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YORK ROCK HILL Khandekar Suresh
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YORK ROCK HILL Reuter Robert MD
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ABBEVILLE ABBEVILLE ABBEVILLE AB
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HORRY LORIS HORRY LORIS Loris Co
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AIKEN AIKEN AIKEN AIKEN Carriage
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FAIRFIELD RIDGEWAY FAIRFIELD RID
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LEXINGTON WEST COLUMBIA Skilled
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AIKEN AIKEN Outpatient Mental He
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BEAUFORT BEAUFORT Outpatient Men
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Outpatient Mental Health Providers
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Page 417 and 418:
Page 419 and 420:
Page 421 and 422:
Page 423 and 424:
Page 425 and 426:
Page 427 and 428:
HORRY MYRTLE BEACH Outpatient Me
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LEXINGTON COLUMBIA Outpatient Me
Page 431 and 432:
NEWBERRY NEWBERRY Outpatient Men
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RICHLAND COLUMBIA Outpatient Men
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Page 437 and 438:
Page 439 and 440:
Page 441 and 442:
YORK ROCK HILL Munson Catherine
Page 443 and 444:
ANDERSON BELTON Chiropractors BE
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CHARLESTON CHARLESTON Chiropract
Page 447 and 448:
CHESTER CHESTER Hardin Lyles G D
Page 449 and 450:
GEORGETOWN ANDREWS GEORGETOWN AN
Page 451 and 452:
GREENVILLE GREER GREER Kemp Moni
Page 453 and 454:
LEXINGTON CHAPIN Nelson Matthew
Page 455 and 456:
PICKENS EASLEY Naumann Victoria
Page 457 and 458:
SPARTANBURG SPARTANBURG Chiropra
Page 459 and 460:
YORK ROCK HILL Muschik Jeffery M
Page 461 and 462:
LEXINGTON WEST COLUMBIA Ancillar
Page 463 and 464:
GREENVILLE GREENVILLE Greenville
Page 465 and 466:
CHESTER CHESTER BMA Of Chester 5
Page 467 and 468:
FAIRFIELD WINNSBORO Fresenius Me
Page 469 and 470:
GREENVILLE GREENVILLE Adam Medic
Page 471 and 472:
Ancillary Providers GEORGETOWN P
Page 473 and 474:
GEORGETOWN GEORGETOWN Ancillary
Page 475 and 476:
Page 477 and 478:
RICHLAND COLUMBIA University Med
Page 479 and 480:
DORCHESTER SUMMERVILLE Ancillary
Page 481 and 482:
CHARLESTON CHARLESTON Ancillary
Page 483 and 484:
LANCASTER LANCASTER Hanger Prost
Page 485 and 486:
ANDERSON PIEDMONT Carolina Oxyge
Page 487 and 488:
Page 489 and 490:
HORRY MYRTLE BEACH Ancillary Pro
Page 491 and 492:
RICHLAND COLUMBIA Ancillary Prov
Page 493 and 494:
OCONEE SENECA The Weston Group I
Page 495 and 496:
SUMTER SUMTER Ancillary Provider
Page 497 and 498:
Ancillary Providers CHARLESTON M
Page 499 and 500:
Routine Vision Service Providers Th
Page 501 and 502:
vision-care providers abbeville abb
Page 503 and 504:
vision-care providers pendleton For
Page 505 and 506:
vision-care providers appel, Gary s
Page 507 and 508:
vision-care providers criswell, Mic
Page 509 and 510:
vision-care providers dungan, Willi
Page 511 and 512:
vision-care providers Hopkins, Jose
Page 513 and 514:
vision-care providers ray, tracy p
Page 515 and 516:
vision-care providers kershaw Mcdow
Page 517 and 518:
vision-care providers Mcelveen, kar
Page 519 and 520:
vision-care providers easley bible,
Page 521 and 522:
vision-care providers lowry Gary, b
Page 523 and 524:
vision-care providers vastis, nicko
Page 525 and 526:
vision-care providers Younger, Will
Page 527 and 528:
vision-care providers Mazhari, nima
Page 529 and 530:
Introduction This booklet provides
Page 531 and 532:
ABBEVILLE Calhoun Falls Callaway’
Page 533 and 534:
Retail Pharmacies Low Country Medic
Page 535 and 536:
Retail Pharmacies Ladson Piggly Wig
Page 537 and 538:
Retail Pharmacies Med Center Ltc Ph
Page 539 and 540:
Retail Pharmacies Timmonsville Timm
Page 541 and 542:
Retail Pharmacies Taylors Taylors D
Page 543 and 544:
Retail Pharmacies Mobley Drugs 1073
Page 545 and 546:
Retail Pharmacies Marlboro Drug Com
Page 547 and 548:
Retail Pharmacies The Medicine Mart
Page 549 and 550:
Retail Pharmacies Inman Kempson Rex
Page 551 and 552:
Retail Pharmacies Community Medicin
Page 553 and 554:
Long-Term Care Pharmacies HoRRy Lor
Page 555 and 556:
Home Infusion Pharmacies Medicare B
Page 557 and 558:
Indian Health Service/Tribal/ Urban
Page 559 and 560:
Provider Index 3 3D Medical Suppl
Page 561 and 562:
Provider Index Anguelova, Ivo V MD
Page 563 and 564:
Provider Index Belle, Larry J LISW
Page 565 and 566:
Provider Index Bozeman, Elizabeth W
Page 567 and 568:
Provider Index CallisWolfe, Rache
Page 569 and 570:
Provider Index Chillag, Kim J MD 28
Page 571 and 572:
Provider Index Cropper, Leland D MD
Page 573 and 574:
Provider Index DHEC Region II Home
Page 575 and 576:
Provider Index Edens, Gregory MD 86
Page 577 and 578:
Provider Index Fisher, Courtney M M
Page 579 and 580:
Provider Index Gandhi, Mukesh M MD
Page 581 and 582:
Provider Index Greer, Richard C MD
Page 583 and 584:
Provider Index Health Care Product
Page 585 and 586:
Provider Index Houston, Robert E MD
Page 587 and 588:
Provider Index Joglekar, Rajiv MD 5
Page 589 and 590:
Provider Index Kinard, John A Jr MD
Page 591 and 592:
Provider Index Leavitt, Anna T MD 8
Page 593 and 594:
Provider Index Macmillan, James P I
Page 595 and 596:
Provider Index McDonald, Jacquelyn
Page 597 and 598:
Provider Index Mims, William W Jr M
Page 599 and 600:
Provider Index Nechodom, Oonagh M F
Page 601 and 602:
Provider Index Palma, David T MD 23
Page 603 and 604:
Provider Index Phillips, Michael S
Page 605 and 606:
Provider Index Rankin, Howard J PhD
Page 607 and 608:
Provider Index Rogers, Richard L Sr
Page 609 and 610:
Provider Index Scott, Brian S MD 65
Page 611 and 612:
Provider Index Smith, Desmond E MD
Page 613 and 614:
Provider Index Stout, Donald M MD 1
Page 615 and 616:
Provider Index Timmons, Gloria H ED
Page 617 and 618:
Provider Index Vermillion, Stephen
Page 619 and 620:
Provider Index Whiteaker, Roberta G
Page 621:
Provider Index Yuko, Ronald T MD 25
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